HOMEMAKER SERVICES PROVIDER IN COLORADO

SUPPORTING DAILY LIVING AND SAFETY AT HOME FOR INDIVIDUALS WHO ARE ELDERLY, DISABLED, OR MEDICALLY FRAGILE

Homemaker Services in Colorado provide assistance with essential household tasks to individuals who are unable to safely maintain their homes due to age, disability, or chronic illness. These services are authorized under Colorado Medicaid's Home and Community-Based Services (HCBS) Waivers, including the Elderly, Blind, and Disabled (EBD) waiver, Brain Injury (BI) waiver, and Community Mental Health Supports (CMHS) waiver.

1. GOVERNING AGENCIES

Agency: Colorado Department of Health Care Policy and Financing (HCPF)

Role: Oversees Medicaid waiver programs, authorizes Homemaker Services, and reimburses qualified providers

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight and ensures Homemaker Services comply with HCBS regulations

2. HOMEMAKER SERVICE OVERVIEW

Homemaker Services assist waiver participants with non-medical tasks to support a clean, safe, and livable home environment. These services may be delivered on a scheduled basis as outlined in the individual’s approved service plan.

Approved providers may deliver:

• General light housekeeping (sweeping, vacuuming, mopping)

• Laundry and linen changing

• Dishwashing and kitchen cleanup

• Bathroom sanitation

• Meal preparation (non-specialized)

• Bed-making and organizing personal areas

• Routine documentation of completed tasks

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Colorado Secretary of State

• Obtain EIN from the IRS and NPI (Type 2)

• Carry general liability insurance and, if employing staff, workers’ compensation coverage

• Enroll as a Homemaker Services Provider through the Gainwell Technologies Medicaid Provider Portal

• Maintain staff background checks and HIPAA compliance protocols

• Have a system in place for verifying service delivery and task completion

4. PROVIDER ENROLLMENT PROCESS

Step 1: Register Business and Acquire NPI

• Establish a business entity, obtain EIN, and apply for NPI (Type 2)

Step 2: Medicaid Enrollment through Gainwell

• Apply via the Colorado Medicaid Provider Web Portal

• Select “Homemaker” as the provider type and submit the necessary documentation

Step 3: Connect with Case Management Agencies (CMAs)

• Coordinate with regional CMAs to receive referrals for participants authorized to receive homemaker support

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or business registration

• IRS EIN Letter

• NPI confirmation

• Liability insurance documentation

• Medicaid provider approval

• Policy & procedure manual including:

  • Client intake and authorization verification

  • Task checklist and service documentation forms

  • Staff training records and supervision protocols

  • Participant rights, consent forms, and HIPAA policies

  • Complaint resolution and incident reporting procedures

  • Emergency contact protocol and safety guidelines

  • Service scheduling and completion logs

6. STAFFING REQUIREMENTS

Role: Homemaker / Direct Support Staff

Requirements:

• High school diploma or equivalent (recommended)

• Background check and TB screening

• CPR/First Aid certification (preferred)

• Ability to perform physical cleaning tasks and communicate clearly with clients

Role: Program Supervisor (for agencies)

Requirements:

• Experience in home care service delivery and staff supervision

• Knowledge of Medicaid documentation and service tracking

Training Requirements for All Staff:

• Infection control and home safety practices

• Abuse prevention and mandatory reporting

• Confidentiality and client rights

• Documentation standards and professionalism

• Annual refreshers in safety and ethical conduct

7. MEDICAID WAIVER SERVICES

Homemaker Services are reimbursed under:

• HCBS-EBD (Elderly, Blind, and Disabled) Waiver

• HCBS-BI (Brain Injury) Waiver

• HCBS-CMHS (Community Mental Health Supports) Waiver

• Other waivers where non-medical home assistance is identified in the care plan

Approved providers may deliver:

• Authorized homemaking services as outlined in the participant’s care plan

• Task-specific services with verification of time and completion

• Communication with CMAs and waiver case managers for updates and reporting

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: Medicaid Enrollment via Gainwell

Timeline: 30–60 days

Phase: Staff Hiring and CMA Referral Setup

Timeline: 2–4 weeks

Phase: Client Intake and Service Activation

Timeline: Ongoing

9. CONTACT INFORMATION

Colorado Department of Health Care Policy and Financing (HCPF)

Email: hcpf_hcbs_questions@state.co.us

Website: https://hcpf.colorado.gov

Colorado Medicaid Provider Enrollment (Gainwell Technologies)

Website: https://portal.co.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — COLORADO HOMEMAKER SERVICES PROVIDER

We help cleaning service providers, caregivers, and home care entrepreneurs launch compliant Homemaker Services under Colorado’s Medicaid waiver programs.​​​​​​​​​​​​​​​​

Scope of Work:

• Business registration (LLC, EIN, NPI)

• Medicaid provider enrollment and HCBS compliance support

• Policy & procedure manual for task tracking, safety, and service delivery

• Templates for homemaker checklists, visit logs, and supervision forms

• Website, domain, and email setup

• Staff credentialing trackers and incident reporting logs

• Client intake packet, consent forms, and grievance process

• Referral networking with CMAs, discharge planners, and housing agencies

• Audit preparation tools and quality improvement templates

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.